# MEADVILLE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meadville Sleep Lab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295145787
- **Authorized official:** RENATO SUNTAY (CEO)
- **Authorized official phone:** (814) 333-5031

## Contact information

- **Practice address:** 751 LIBERTY ST, SLEEP LAB, MEADVILLE, PA 16335-2559
- **Practice address phone:** (814) 333-5174
- **Practice address fax:** (814) 373-2153
- **Mailing address:** 1034 GROVE ST, MEADVILLE, PA 16335-2945
- **Mailing address phone:** (814) 333-5000
- **Mailing address fax:** (814) 333-5640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2014
- **Last updated:** 12/10/2015